BRADFORD C LAVIGNE MD (Credential# 545779) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRADFORD C LAVIGNE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026027. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 45 Wells St Suite #103, Westerly, RI 02891. The current status is active.
| Licensee Name | BRADFORD C LAVIGNE MD |
| Credential ID | 545779 |
| Credential Number | 1.026027 |
| Credential Type | Physician/Surgeon |
| Business Address |
45 Wells St Suite #103 Westerly RI 02891 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-10-26 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 338256 | CSP.0033486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-05-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 45 WELLS ST SUITE #103 |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven R Yolen Md | 45 Wells St Suite #103, Westerly, RI 02891 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard L Haronian | 45 Wells Street, Westerly, RI 02891 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Pamela Addley | 222 Post Road, Westerly, RI 02891 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaila Marie Martinez | 21 Dayton Street, Westerly, RI 02891 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Leonora L Comrie | 23 Holmes Street, Westerly, RI 02891 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Geraldine Schilke | 38 Stuart Street, Westerly, RI 02891 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| R L Dimario | 117a Cross Street, Westerly, RI 02891 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Sherry L Paige · Browning | 84 Dunns Corners Road, Westerly, RI 02891 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ccm Colonial LLC | 6 Spuchy Dr, Westerly, RI 02891 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Diann M Thompson | 33 Sandy Lane, Westerly, RI 02891 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Donna M Villano | 1 Reading Drive, Westerly, RI 02891 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 02891 | |||
| City | WESTERLY |
| Zip Code | 02891 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTERLY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis Lavigne · D J Lavigne Contractor | 195 Lake Drive, E Hampton, CT 06424 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Ann M Rasmusson Md | 36 Bradford St # 2, Boston, MA 02118-2119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bradford Frank | 48 Stratton Way, Branford, CT 06405 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
| Paul B Koehler | Rr01 Box 250 H, Bradford, NH 03221 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Erika D Bradford | 69 Bayview Ave, Berkley, MA 02779 | Physician/surgeon | 2008-06-30 ~ 2009-08-31 |
| Bradford C Sodowick | 4 Esterly Farms Rd, Madison, CT 06443 | Physician/surgeon | 1998-04-13 ~ 1999-04-30 |
| Juan Carlos Deza | 26 Bradford Rd, Scarsdale, NY 10583-7652 | Physician/surgeon | 1985-06-04 ~ 1988-11-30 |
| Bradford Wolk Md | 384-k Merrow Road, Tolland, CT 06084 | Physician/surgeon | 2004-03-15 ~ 2005-03-31 |
| Primla H Fazaluddin | 74 Bradford Walk, Farmington, CT 06032-4532 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| John L Kniaz | 17 Bradford Lane, Oak Brook, IL 60521 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
Please comment or provide details below to improve the information on BRADFORD C LAVIGNE MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).